Organization
HRT EVERGREEN PC
Active
Other names
Ageless Men's Health
Organization subpart
No
Provider details
NPI number
Authorized official
AMANDA WILKINSON (BUSINESS OPERATIONS DIRECTOR)
(602) 796-2559
Entity
Organization
Contact information
Practice address
11917 E BROADWAY AVE STE 102, SPOKANE VALLEY, WA 99206-6011
(602) 796-2559
Mailing address
10501 W GOWAN RD STE 200, LAS VEGAS, NV 89129-6602
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
02/25/2025
Last updated
07/08/2025
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